Paisley School of Hung Fut Pai Kung Fu
Membership Information & Application Form
Signature: _________________________________ Date: ________________________
NOTE:
THIS FORM MUST BE SIGNED BY PARENT OR GUARDIAN IF STUDENT IS UNDER 16.
SIGNATURE: _______________________________ DATE: _______________________
All Students
Please be aware that Martial Arts does involve physical excercise, is a contact sport and participation is entirely at your own risk.
In
order to avoid unnecessary injury, you must make Chief instructors aware
of any illnesses or conditions that could be affected by this activity.
eg/ asthma, heart conditions, epilepsy, pregnancy, high or low blood
pressure, joint or muscular pain/injuries etc.
In some cases we require you to obtain doctor's advice
to take part in Martial Arts and provide evidence of such.
In order to cover both yourself and Paisley School of Kung Fu it is
your responsibility to be aware of these rules and to ensure that you
have taken the appropriate action to avoid any injuries. In extreme
circumstances long term injuries could be sustained which could result
in death.
If at any time you do not wish to participate in any activity within
the class then you have the right to practice any other part of the
syllabus.
It would be helpful if you could complete the section below for our
records, detailing any current conditions and/or medication that you
are currently taking.
Signature: _________________________________ Date: ________________________
NOTE:
THIS FORM MUST BE SIGNED BY PARENT OR GUARDIAN IF STUDENT IS UNDER 16.
SIGNATURE: _______________________________ DATE: _______________________
Please print this form and give to your instructor.
You are not required to disclose the above information but please
be aware that participation in Martial Arts is entirely at your own
risk.